Provider Demographics
NPI:1558809954
Name:IMPERATIVE HOUSE CALLS LLC
Entity Type:Organization
Organization Name:IMPERATIVE HOUSE CALLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:UMECCA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:COWART
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:313-207-5134
Mailing Address - Street 1:9065 NEWPORT WAY
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-4171
Mailing Address - Country:US
Mailing Address - Phone:313-207-5134
Mailing Address - Fax:
Practice Address - Street 1:9065 NEWPORT WAY
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-4171
Practice Address - Country:US
Practice Address - Phone:313-207-5134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704277432363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty